EURORAD ESR

Case 15062

Bleomycin induced pneumonitis

Author(s)
Logeswaran Selvarajah, Derek G. Power

Mercy University Hospital
 
Patient
male, 60 year(s)
 
 
  • Figure 1
    Initial staging

    Staging PET scan showing initial diagnosis of stage IIIB nodular sclerosis Hodgkin's lymphoma

     
    Area of Interest: Thorax; Imaging Technique: PET; Procedure: Diagnostic procedure; Special Focus: Lymphoma;
     
     
  • Figure 2
    Clinical event (BIP)

    PET scan at presentation with respiratory symptoms post cycle 3 of ABVD showing diffuse FDG uptake in mid and lower zones of the lung.

     
    Area of Interest: Thorax; Imaging Technique: PET; Procedure: Diagnostic procedure; Special Focus: Inflammation;
     
     
  • Figure 3
    Clinical event (BIP) lung window mid zone

    CT Thorax at presentation with respiratory symptoms post cycle 3 ABVD showing ground glass opacification of the mid zone of the lung

     
    Area of Interest: Thorax; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Inflammation;
     
     
  • Figure 4
    Clinical event (BIP) lung window lower zone

    CT Thorax at presentation with respiratory symptoms post cycle 3 ABVD showing ground glass opacification of the lower zone of the lung

     
    Area of Interest: Thorax; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Inflammation;
     
     
  • Figure 5
    Post treatment resolution

    PET scan post completion of steroid treatment showing resolution of pneumonitis and FDG avid foci in spleen of Hodgkin's lymphoma.

     
    Area of Interest: Thorax; Imaging Technique: PET; Procedure: Diagnostic procedure; Special Focus: Lymphoma;
     
     
  • Figure 6
    Post treatment resolution lung window mid zone

    CT Thorax post completion of steroid treatment showing resolution of pneumonitis in the mid zone of the lung

     
    Area of Interest: Thorax; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Inflammation;
     
     
  • Figure 7
    Post treatment resolution lung window lower zone

    CT Thorax post completion of steroid treatment showing resolution of pneumonitis in the lower zone of the lung

     
    Area of Interest: Thorax; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Inflammation;
     
     
Staging PET scan showing initial diagnosis of stage IIIB nodular sclerosis Hodgkin's lymphoma
 
PET scan at presentation with respiratory symptoms post cycle 3 of ABVD showing diffuse FDG uptake in mid and lower zones of the lung.
 
CT Thorax at presentation with respiratory symptoms post cycle 3 ABVD showing ground glass opacification of the mid zone of the lung
 
CT Thorax at presentation with respiratory symptoms post cycle 3 ABVD showing ground glass opacification of the lower zone of the lung
 
PET scan post completion of steroid treatment showing resolution of pneumonitis and FDG avid foci in spleen of Hodgkin's lymphoma.
 
CT Thorax post completion of steroid treatment showing resolution of pneumonitis in the mid zone of the lung
 
CT Thorax post completion of steroid treatment showing resolution of pneumonitis in the lower zone of the lung
 
 
 
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